Organization
SPARROW KIDS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CAMPODONICO OTR (OCCUPATIONAL THERAPIST)
(325) 232-1023
Entity
Organization
Contact information
Practice address
257 LONG RANGER RD, ABILENE, TX 79602-1531
(325) 232-1023
Mailing address
257 LONG RANGER RD, ABILENE, TX 79602-1531
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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